Preventive Medicine
“We want to help people stay healthy and prevent illness, so we’re seeking the best evidence and testing innovative new ways to make screening and health promotion part of everyday clinical practice.”
Nora Henrikson, PhD, MPH
Assistant Investigator, Kaiser Permanente Washington Health Research Institute
Research overview
Research is often lauded for finding life-saving treatments for diseases like cancer or diabetes. But consider the impact of preventing such illnesses from developing in the first place. It’s hard to describe the value of stopping illness or injury from happening. Yet that’s the goal of research on preventive care.
Most Kaiser Permanente Washington scientists study prevention, whether their work focuses on promoting health by influencing individual behavior, building sound prevention services into everyday clinical care, designing smart health coverage, or all three. By conducting their research at Kaiser Permanente Washington—which combines care and coverage—our researchers have access to data from a large, stable population over time, allowing them to discover which approaches to prevention work best.
Examples include research in areas such as:
Evidence-based practice reviews
A team of researchers at Kaiser Permanente Washington Health Research Institute (KPWHRI) produces reviews of scientific evidence that policymakers at the Centers for Medicare & Medicaid Services and the U.S. Preventive Services Task Force and others use in health care decision-making. We do this work as part of the Kaiser Permanente Research Affiliates Evidence-based Practice Center, one of 13 centers nationwide that are sponsored by the federal Agency for Healthcare Research and Quality.
Immunization
We’re improving the safety and effectiveness of vaccines through clinical trials, and we’re monitoring how well each year’s new flu vaccines are working. In addition, we’re studying ways to better inform parents about the benefits and potential harms of childhood vaccines, to improve their uptake.
Drug safety
We’re working on several fronts to help ensure the safety of prescription drugs and other medical treatments. For example, we play a leading role in the Food and Drug Administration’s Sentinel program to monitor the safety of medical products through routinely collected electronic health care data. We’re exploring ways to improve the safety of prescribing opioid pain medications. And we often study the safety of drugs commonly used to prevent chronic conditions like heart disease, cancer, and depression.
Screening
Prevention also includes screening to detect disease before symptoms appear, to identify and treat disease at an earlier stage. Our research is improving the effectiveness of cancer screening programs so people get the appropriate tests when needed based on their particular risks. Our research is also aimed at improving clinical screening for behavioral risks such as smoking, suicidal thoughts, alcohol use disorders, and poor eating and exercise habits.
Health promotion
Our research in areas such as smoking cessation, healthy diet, and chronic illness care finds new ways to encourage individuals to adopt and maintain healthier lifestyles. At the same time, we’re exploring ways to reach large populations through the use of phone-based programs, websites, and mobile technologies.
Recent publications on Preventive Medicine
Carter-Bawa L, Slaven JE Jr, Monahan PO, Brandzel S, Gao H, Wernli KJ, Lafata JE, Rawl SM. Unpacking the relationship between shared decision-making and decisional quality, decision to screen, and screening completion in lung cancer screening. Patient Educ Couns. 2024;122:108143. doi: 10.1016/j.pec.2024.108143. Epub 2024 Jan 11. PubMed
Simon GE, Shortreed SM, Johnson E, Yaseen ZS, Stone M, Mosholder AD, Ahmedani BK, Coleman KJ, Coley RY, Penfold RB, Toh S. Predicting risk of suicidal behavior from insurance claims data vs. linked data from insurance claims and electronic health records. Pharmacoepidemiol Drug Saf. 2023 Dec 19. doi: 10.1002/pds.5734. [Epub ahead of print]. PubMed
Winer RL, Lin J, Anderson ML, Tiro JA, Green BB, Gao H, Meenan RT, Hansen K, Sparks A, Buist DSM. Strategies to increase cervical cancer screening with mailed human papillomavirus self-sampling kits: A randomized clinical trial. JAMA. 2023 Nov 28;330(20):1971-1981. doi: 10.1001/jama.2023.21471. PubMed
Thomas M, Su YR, Rosenthal EA, Sakoda LC, Schmit SL, Timofeeva MN, Chen Z, Fernandez-Rozadilla C, Law PJ, Murphy N, Carreras-Torres R, Diez-Obrero V, van Duijnhoven FJB, Jiang S, Shin A, Wolk A, Phipps AI, Burnett-Hartman A, Gsur A, Chan AT, Zauber AG, Wu AH, Lindblom A, Um CY, Tangen CM, Gignoux C, Newton C, Haiman CA, Qu C, Bishop DT, Buchanan DD, Crosslin DR, Conti DV, Kim DH, Hauser E, White E, Siegel E, Schumacher FR, Rennert G, Giles GG, Hampel H, Brenner H, Oze I, Oh JH, Lee JK, Schneider JL, Chang-Claude J, Kim J, Huyghe JR, Zheng J, Hampe J, Greenson J, Hopper JL, Palmer JR, Visvanathan K, Matsuo K, Matsuda K, Jung KJ, Li L, Le Marchand L, Vodickova L, Bujanda L, Gunter MJ, Matejcic M, Jenkins MA, Slattery ML, D'Amato M, Wang M, Hoffmeister M, Woods MO, Kim M, Song M, Iwasaki M, Du M, Udaltsova N, Sawada N, Vodicka P, Campbell PT, Newcomb PA, Cai Q, Pearlman R, Pai RK, Schoen RE, Steinfelder RS, Haile RW, Vandenputtelaar R, Prentice RL, Küry S, Castellví-Bel S, Tsugane S, Berndt SI, Lee SC, Brezina S, Weinstein SJ, Chanock SJ, Jee SH, Kweon SS, Vadaparampil S, Harrison TA, Yamaji T, Keku TO, Vymetalkova V, Arndt V, Jia WH, Shu XO, Lin Y, Ahn YO, Stadler ZK, Guelpen BV, Ulrich CM, Platz EA, Potter JD, Li CI, Meester RR, Moreno V, Figueiredo JC, Casey G, Vogelaar IL, Dunlop MG, Gruber SB, Hayes RB, Pharoah PD, Houlston RS, Jarvik GP, Tomlinson IP, Zheng W, Corley DA, Peters U, Hsu L. Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations. Nat Commun. 2023;14(1):6147. doi: 10.1038/s41467-023-41819-0. PubMed
Cash-Goldwasser S, Reingold AL, Luby SP, Jackson LA, Frieden TR. Masks during pandemics caused by respiratory pathogens - evidence and implications for action. JAMA Netw Open. 2023;6(10):e2339443. doi: 10.1001/jamanetworkopen.2023.39443. PubMed
Researchers in Preventive Medicine
 Paula Lozano, MD, MPHSenior Investigator; Director, ACT Center |
 Katharine A. Bradley, MD, MPHSenior Investigator |
 Jessica Chubak, PhDSenior Investigator |
 Dori E. Rosenberg, PhD, MPHSenior Scientific Investigator |
 Karen Wernli, PhDSenior Investigator |
 Erin J. Bowles, MPHDirector, Collaborative Science |
 Melissa L. Anderson, MSPrincipal Collaborative Biostatistician |
 Paula R. Blasi, MPHCollaborative Scientist |
 Joseph E. Glass, PhD, MSWAssociate Investigator |
 Julie E. Richards, PhD, MPHAssistant Investigator |
 Yu-Ru Su, PhDAssociate Biostatistics Investigator |
 Annie Hoopes, MD, MPHActing Assistant Investigator |
 Pamela A. Shaw, PhD, MSSenior Biostatistics Investigator |
 Claire Allen, MPHManager, Collaborative Science |
 Nicole M. Gatto, PhD, MPHPrincipal Collaborative Scientist |
 Kelsey Stefanik-Guizlo, MPHCollaborative Scientist |
 Theresa E. Matson, PhD, MPHCollaborative Scientist |
 Meagan C. Brown, PhD, MPHAssistant Investigator |
 Nora Henrikson, PhD, MPHAssociate Investigator |
Healthy Findings Blog
Meet KPWHRI’s collaborative scientists
The division contributes to research across the institute with methodological and subject matter expertise.
Healthy findings blog
How do you make sense of a mountain of evidence?
KPWHRI researchers answer questions about systematic reviews and their impact on health care guidelines.
healthy findings blog
Stopping violence: What can health care do right now?
Dr. David Grossman, with Dr. Bechara Choucair, has ideas for reducing harm to patients and the workforce
Research findings
Using breast MRI after cancer may lead to unneeded biopsies
A Kaiser Permanente-led BCSC study is among the largest to evaluate adding MRI surveillance for breast cancer survivors.
healthy findings blog
What to expect after a screening breast MRI vs. mammography alone
Diana Buist and BCSC find screening MRI leads to more biopsies, finding fewer cancers, regardless of personal history of breast cancer: JAMA Internal Medicine.
suicide prevention
To prevent gun suicides, new study seeks to improve primary care intervention
Julie Richards’ research project is one of the first three funded by Kaiser Permanente’s Firearm Injury Prevention Task Force.
Read more in Recent News.
Healthy Findings Blog
Breast screening reminders: One size does not fit all
Results from a new paper suggest the importance of tailoring preventive health outreach, writes Kaiser Permanente's Susan Carol Bradford.
Land Acknowledgment
Our Seattle offices sit on the occupied land of the Duwamish and by the shared waters of the Coast Salish people, who have been here thousands of years and remain. Learn about practicing land acknowledgment.